<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
<html lang="zh-CN">
<head>
<s:head theme="ajax" />
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<%@ page import="java.util.Date"%>
<script type="text/javascript">
var selectItems = {};

</script>
</head>
<body>
<form class="form-horizontal">
	<div class="form-group">
		<label class="col-lg-3 control-label">版本编码:</label>
		<div class="col-lg-9">
			<input name="verCode" style="display:inline; width:80%;" class="form-control"  type="text"  id="verCodeID" dataType="Require"/>
			<span class="required">*</span>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">版本描述:</label>
		<div class="col-lg-9">
			<input name="verDesc" style="display:inline; width:80%;" class="form-control"  type="text"  id="verDescID" dataType="Require" />
			<span class="required">*</span>
		</div>
	</div>
	<div class="form-group">
    	<label class="col-lg-3 control-label">ICD9版本:</label>
		<div class="col-lg-9">
			<div class="btn-group select" id="addICD9TypeID"></div>
    		<input type="text" id="addICD9TypeID_"  name="icd9Version" style="visibility: hidden;width:0;"/>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">ICD10版本:</label>
		<div class="col-lg-9">
			<div class="btn-group select" id="addICD10TypeID"></div>
			<input type="text" id="addICD10TypeID_"  name="icd10Version" style="visibility: hidden;width:0;"/>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">地区编码:</label>
		<div class="col-lg-9">
			<input name="regionCode" style="display:inline; width:80%;" class="form-control"  type="text"  id="regionCodeID" />
		</div>
	</div>
	
</form>
</body>
</html>